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Individual

MRS. ROSELLE EBCAS BRENNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11296 SE HIGHWAY 42, SUMMERFIELD, FL 34491
(352) 307-0088
(352) 307-0088
Mailing address
11296 SE HIGHWAY 42, SUMMERFIELD, FL 34491-8635
(352) 307-0088
(352) 307-0088

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
08/08/2017
Last updated
07/21/2022
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